Tysabri Observational Program
TOP
TOP: TYSABRI Observational Program
1 other identifier
observational
6,620
18 countries
419
Brief Summary
The primary objective of this study is to assess the long-term safety and impact on disease activity and progression of Tysabri in participants with relapsing remitting multiple sclerosis (RRMS) in a clinical practice setting.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jun 2007
Longer than P75 for all trials
419 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 27, 2007
CompletedFirst Posted
Study publicly available on registry
June 28, 2007
CompletedStudy Start
First participant enrolled
June 29, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2023
CompletedApril 8, 2024
April 1, 2024
16.4 years
June 27, 2007
April 5, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of Participants with Serious Adverse Events (SAE)
Up to 15 years
Secondary Outcomes (9)
Annualized Relapse Rate (ARR)
Yearly for up to 15 years
Distribution of the Total Number of Relapses
Yearly for up to 15 years
Time to First Relapse
Yearly for up to 15 years
Percentage of Participants with Relapse
Yearly for up to 15 years
Percentage of Participants with Disability Progression
Yearly for up to 15 years
- +4 more secondary outcomes
Study Arms (1)
Tysabri
According to the local prescribing information
Interventions
Eligibility Criteria
Participants with RRMS who are therapy-naïve to Tysabri and who meet the criteria defined in the indication statement for prescription in the respective country.
You may qualify if:
- Documented diagnosis of Relapsing Remitting Multiple Sclerosis
- The decision to treat with Tysabri must precede enrollment
- Patient must be a new Tysabri user, and must not have had more than 3 Tysabri infusions prior to enrollment
- Must have had at least one relapse in the previous year, and must satisfy locally approved therapeutic indications for Tysabri
You may not qualify if:
- History of Progressive Multifocal Leukoencephalopathy or other opportunistic infections, or an increased risk of opportunistic infections
- History of positive anti-Tysabri antibodies
- Concomitant Immunomodulatory or immunosuppressive therapy during therapy with Tysabri
- Patient immunocompromised at the time of enrollment
- Known active malignancy
- Women must not be breast feeding or pregnant, or planning to become pregnant (must use birth control unless surgically sterile)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Biogenlead
Study Sites (419)
Research Site
Buenos Aires, 8000, Argentina
Research Site
Buenos Aires, C1061ABD, Argentina
Research Site
Buenos Aires, C1118AAT, Argentina
Research Site
Buenos Aires, C1428AQK, Argentina
Research Site
CABA, C1015ABR, Argentina
Research Site
Córdoba, X5014HYR, Argentina
Research site
Santa Fe, S2000BZL, Argentina
Research site
Camperdown, New South Wales, 2050, Australia
Research site
Liverpool, New South Wales, 2170, Australia
Research site
New Lambton Heights, New South Wales, 2305, Australia
Research Site
St Leonards, New South Wales, 2065, Australia
Research Site
Auchenflower, Queensland, 4066, Australia
Research site
Gold Coast, Queensland, 9726, Australia
Research site
Adelaide, South Australia, 5042, Australia
Research Site
North Adelaide, South Australia, 5006, Australia
Research site
Box Hill, Victoria, 3128, Australia
Research site
Fitzroy, Victoria, 3065, Australia
Research site
Heidelberg, Victoria, 3084, Australia
Research Site
Melbourne, Victoria, 3004, Australia
Research site
Parkville, Victoria, 3050, Australia
Research site
Nedlands, Western Australia, 6009, Australia
Research site
Aalst, 9300, Belgium
Research site
Anderlecht, 1070, Belgium
Research site
Antwerp, 2020, Belgium
Research site
Bocholt, 3950, Belgium
Research site
Brasschaat, 2930, Belgium
Research site
Bruges, 8000, Belgium
Research site
Brussels, 1000, Belgium
Research site
Brussels, 1180, Belgium
Research site
Charleroi, 6000, Belgium
Research Site
Charleroi, B-6042, Belgium
Research site
Edegem, 2650, Belgium
Research site
Fraiture, 4557, Belgium
Research site
Genk, 3600, Belgium
Research site
Ghent, 9000, Belgium
Research site
Hasselt, 3500, Belgium
Research site
Jette, 1090, Belgium
Research site
Kortrijk, 8500, Belgium
Research site
La Louvière, 7100, Belgium
Research site
Leuven, 3000, Belgium
Research site
Libramont, 6800, Belgium
Research site
Liège, 4000, Belgium
Research site
Malmedy, 4960, Belgium
Research site
Melsbroek, 1820, Belgium
Research site
Ostend, 8400, Belgium
Research site
Ottignies, 1340, Belgium
Research Site
Overpelt, 3900, Belgium
Research site
Sijsele, 8340, Belgium
Research site
Tournai, 7500, Belgium
Research site
Wilrijk, 2610, Belgium
Research site
Woluwe-Saint-Lambert, 1200, Belgium
Research Site
Belo Horizonte, 30130-090, Brazil
Research Site
Botucatu, 18618-687, Brazil
Research Site
Rio de Janeiro, 21941-590, Brazil
Research Site
São Paulo, 05402-000, Brazil
Research Site
São Paulo, 2151-1233, Brazil
Research site
Edmonton, Alberta, T5H 4B9, Canada
Research site
Burnaby, British Columbia, V5G2X6, Canada
Research Site
Vancouver, British Columbia, V6T 2B5, Canada
Research site
Winnipeg, Manitoba, R3E0T5, Canada
Research site
Saint John, New Brunswick, E2L 4L2, Canada
Research site
Halifax, Nova Scotia, B3HIV7, Canada
Research site
Bracebridge, Ontario, P1L 1R1, Canada
Research site
Guelph, Ontario, N1H4J4, Canada
Research site
Hamilton, Ontario, L8L5G4, Canada
Research site
Hamilton, Ontario, L8N 1T8, Canada
Research site
London, Ontario, N6A5A5, Canada
Research site
Milton, Ontario, L9T 7H3, Canada
Research site
Thunder Bay, Ontario, P7B7C7, Canada
Research site
Toronto, Ontario, M5B 1W8, Canada
Research site
Gatineau, Quebec, J8Y 1W2, Canada
Research site
Greenfield Park, Quebec, J4V 2J2, Canada
Research site
Montreal, Quebec, H2X OA9, Canada
Research site
Montreal, Quebec, H3A 2B4, Canada
Research site
Regina, Saskatchewan, S4S3K8, Canada
Research site
Brno, 62500, Czechia
Research site
Brno, 65691, Czechia
Research site
České Budějovice, 37087, Czechia
Research site
Hradec Kralové, 50005, Czechia
Research site
Jihlava, 58633, Czechia
Research site
Olomouc, 77520, Czechia
Research site
Ostrava, 70852, Czechia
Research site
Pardubice, 53203, Czechia
Research site
Pilsen, 30460, Czechia
Research site
Prague, 10034, Czechia
Research site
Prague, 12808, Czechia
Research site
Prague, 14200, Czechia
Research site
Prague, 15006, Czechia
Research site
Teplice, 41528, Czechia
Research Site
Teplice, 41529, Czechia
Research site
Zlín, 76275, Czechia
Research site
Helsinki, 00029, Finland
Research site
Jyväskylä, 40620, Finland
Research site
Kuopio, 70211, Finland
Research site
Pori, 28500, Finland
Research site
Seinäjoki, 60220, Finland
Research site
Tampere, 33521, Finland
Research site
Turku, 20521, Finland
Research site
Agen, 47923, France
Research site
Aix-en-Provence, 13100, France
Research site
Alençon, 61014, France
Research site
Angoulême, 16000, France
Research site ,1 Allée du Château- Dr Wagner
Ars-Laquenexy, 57245, France
Research site
Auxerre, 89011, France
Research site
Avranches, 50300, France
Research site
Bayonne, 64100, France
Research site
Beauvais, 60000, France
Research site
Belfort, 90000, France
Research site
Beuvry, 62660, France
Research site
Béthune, 62408, France
Research site
Boulogne-sur-Mer, 62321, France
Research site
Calais, 62107, France
Research site
Castelnau-le-Lez, 34171, France
Research site
Castres, 81108, France
Research site
Chambéry, 73000, France
Research site
Chambéry, 73011, France
Research site
Colmar, 68024, France
Research site
Compiègne, 60321, France
Research site
Dieppe, 76200, France
Research site
Dreux, 28107, France
Research site
Dunkirk, 59385, France
Research site
Épinal, 88021, France
Research site
Évreux, 27015, France
Research site
Haguenau, 67501, France
Research site
La Rochelle, 17000, France
Research site 177, rue de Versailles- Dr Servan
Le Chesnay, 78157, France
Research site
Le Chesnay, 78157, France
Research site
Le Coudray, 28630, France
Research site
Le Havre, 76600, France
Research site
Le Mans, 72037, France
Research site
Lille, 59000, France
Research site
Lisieux, 14100, France
Research site
Lomme, 59462, France
Research site
Mantes-la-Jolie, 78201, France
Research site
Maubeuge, 59600, France
Research site
Metz, 57038, France
Research site
Metz-Tessy, 74370, France
Research site
Mont-de-Marsan, 40024, France
Research site
Montauban, 82000, France
Research site
Montluçon, 03100, France
Research site
Montpellier, 34080, France
Research site
Montpellier, 34264, France
Research site
Mulhouse, 68100, France
Research site
Nice, 06105, France
Research site
Paris, 75020, France
Research site
Paris, 75674, France
Research site
Pau, 64000, France
Research site
Quimper, 29000, France
Research site
Reims, 51100, France
Research site
Saint-Aubin-sur-Scie, 76550, France
Research site
Sarreguemines, 57200, France
Research site
Saumur, 49400, France
Research site
St-Malo, 35400, France
Research site
Talant, 21240, France
Research site
Tarbes, 65013, France
Research site
Tourcoing, 59200, France
Research site
Trappes, 78190, France
Research site
Trélazé, 49800, France
Research site
Valenciennes, 59322, France
Research site
Vesoul, 70014, France
Research site
Vichy, 3201, France
Research site
Abensberg, 93326, Germany
Research site
Andernach, 56626, Germany
Research Site
Arnsdorf, 01477, Germany
Research site
Asperg, 71679, Germany
Research site
Augsburg, 86156, Germany
Research site
Bad Hersfeld, 36088, Germany
Research site
Bad Honnef, 53604, Germany
Research Site
Bad Kissingen, 97688, Germany
Research site
Bad Mergentheim, 97980, Germany
Research site
Bad Reichenhall, 83435, Germany
Research site
Bamberg, 96049, Germany
Research site
Berlin, 10017, Germany
Research site
Berlin, 10437, Germany
Research site
Berlin, 10785, Germany
Research site
Berlin, 10969, Germany
Research site
Berlin, 12057, Germany
Research site
Berlin, 12099, Germany
Research site
Berlin, 12203, Germany
Research site
Berlin, 13347, Germany
Research site
Berlin, 13439, Germany
Research site
Berlin, 14163, Germany
Research site
Bielefeld, 33602, Germany
Research site
Bielefeld, 33647, Germany
Research site
Bochum, 44791, Germany
Research site
Bogen, 94327, Germany
Research site
Bonn, 53111, Germany
Research site
Bruchsal, 76646, Germany
Research site
Buchholz, 21244, Germany
Research site
Celle, 29223, Germany
Research site
Chemnitz, 09117, Germany
Research site
Cologne, 50924, Germany
Research site
Cologne, 50996, Germany
Research site
Dillingen, 66763, Germany
Research site
Dresden, 01067, Germany
Research site
Duisburg, 47169, Germany
Research site
Düren, 52351, Germany
Research site
Düsseldorf, 40211, Germany
Research site
Düsseldorf, 40225, Germany
Research site
Eisenach, 99817, Germany
Research site
Emden, 26721, Germany
Research site
Emmendingen, 79312, Germany
Research site
Erbach im Odenwald, 64711, Germany
Research site
Erlangen, 91054, Germany
Research site
Essen, 45122, Germany
Research site
Essen, 45138, Germany
Research site
Essen, 45257, Germany
Research site
Falkenstein, 61462, Germany
Research site
Frankfurt, 60325, Germany
Research site
Freiburg im Breisgau, 79106, Germany
Research site
Görlitz, 02828, Germany
Research site
Göttingen, 37073, Germany
Research site
Greifswald, 17489, Germany
Research site
Halle, 06120, Germany
Research site
Hamburg, 20249, Germany
Research site
Hamburg, 20354, Germany
Research site
Hamburg, 22179, Germany
Research site
Heidelberg, 69120, Germany
Research site
Herford, 32052, Germany
Research site
Itzehoe, 25524, Germany
Research site
Jena, 07740, Germany
Research site
Kaiserslautern, 67655, Germany
Research site
Kaltenkirchen, 24568, Germany
Research site
Kandel, 76870, Germany
Research site
Kassel, 34121, Germany
Research site
Kastellaun, 56288, Germany
Research site
Kirchberg, 08107, Germany
Research site
Kirchheim unter Teck, 73230, Germany
Research Site
Kreuzau, 52372, Germany
Research site
Ladenburg, 68526, Germany
Research site
Leipzig, 041579, Germany
Research site
Leipzig, 04275, Germany
Research site
Lengerich, 49525, Germany
Research site
Ludwigshafen, 67059, Germany
Research site
Lüdenscheid, 58511, Germany
Research site
Lüdenscheid, 58515, Germany
Research site
Lüneburg, 21335, Germany
Research site
Magdeburg, 39120, Germany
Research site
Mannheim, 68158, Germany
Research site
Mannheim, 68161, Germany
Research site
Marburg, 35043, Germany
Research site
München, 80331, Germany
Research site
München, 80333, Germany
Research site
München, 81479, Germany
Research site
München, 81675, Germany
Research site
München, 81825, Germany
Research site
Münster, 48149, Germany
Research site
Neuburg am Inn, 86633, Germany
Research site
Neukirchen-Vluyn, 47506, Germany
Research site
Neuruppin, 16816, Germany
Research site
Nuremberg, 90419, Germany
Research site
Nuremberg, 90451, Germany
Research site
Nuremberg, 90461, Germany
Research site
Oldenburg, 26121, Germany
Research site
Oldenburg, 26127, Germany
Research site
Olpe, 57462, Germany
Research site
Osnabrück, 49074, Germany
Research site
Osnabrück, 49076, Germany
Research site
Osnabrück, 49078, Germany
Research site
Paderborn, 33098, Germany
Research site
Potsdam, 14471, Germany
Research site
Regensburg, 93053, Germany
Research site
Remscheid, 42853, Germany
Research site
Rüdersdorf, 15562, Germany
Research Site
Rülzheim, 76761, Germany
Research site
Schlüchtern, 36381, Germany
Research site
Schorndorf, 73614, Germany
Research site
Schwaebisch, 74523, Germany
Research site
Siegen, 57076, Germany
Research site
Sinsheim, 74889, Germany
Research site
Stade, 21682, Germany
Research site
Stadtroda, 07646, Germany
Research site
Stuttgart, 70176, Germany
Research site
Stuttgart, 70182, Germany
Research site
Tegel, 13507, Germany
Research site
Teupitz, 15755, Germany
Research site
Trier, 54282, Germany
Research site
Troisdorf, 53844, Germany
Research site
Ulm, 89073, Germany
Research site
Ulm, 89077, Germany
Research site
Ulm, 89081, Germany
Research site
Unterhaching, 82008, Germany
Research site
Wasserburg, 83512, Germany
Research site
Weimar, 99425, Germany
Research site
Weinheim, 69469, Germany
Research site
Wermsdorf, 04779, Germany
Research site
Wernigerode, 38855, Germany
Research site
Wiesbaden, 65185, Germany
Research site
Wolfenbüttel, 38300, Germany
Research site
Wolfratshausen, 82515, Germany
Research site
Würzburg, 97080, Germany
Research site
Zwickau, 08058, Germany
Research site
Heraklion, Crete, 71201, Greece
Research Site
Alexandroupoli, 68100, Greece
Research site
Athens, 10676, Greece
Research site
Athens, 11521, Greece
Research site
Athens, 11524, Greece
Research site
Athens, 11525, Greece
Research site
Athens, 11526, Greece
Research site
Ioannina, 45500, Greece
Research site
Pátrai, 26504, Greece
Research site
Pátrai, 26535, Greece
Research site
Thessaloniki, 54636, Greece
Research site
Thessaloniki, 56429, Greece
Research site
Thessaloniki, 57010, Greece
Research site
Bari, 70121, Italy
Research site
Bergamo, 24126, Italy
Research site
Cagliari, 09100, Italy
Research site
Cefalù, 90015, Italy
Research site
Chieti, 66013, Italy
Research site
Cuneo, 11100, Italy
Research site
Fidenza, 43036, Italy
Research site
Florence, 50134, Italy
Research site
Foggia, 71100, Italy
Research site
Gallarate, 21013, Italy
Research site
Milan, 20122, Italy
Research site
Milan, 20133, Italy
Research site
Napoli, 80131, Italy
Research site
Orbassano, 10043, Italy
Research site
Roma, 00144, Italy
Research site
Roma, 00152, Italy
Research site
Roma, 00185, Italy
Research site
Zapopan, Jalisco, 45150, Mexico
Research site
Monterrey, Nuevo León, 64060, Mexico
Research site
Monterrey, Nuevo León, 64380, Mexico
Research site
Aguascalientes, 20230, Mexico
Research site
Estado de México, 52763, Mexico
Research Site
León, 37150, Mexico
Research site
Mexico City, 01030, Mexico
Research site
Mexico City, 05300, Mexico
Research site
Mexico City, 06700, Mexico
Research site
Mexico City, 06760, Mexico
Research site
Mexico City, 09220, Mexico
Research Site
Mexico City, 14260, Mexico
Research site
Puebla City, 72540, Mexico
Research Site
Puebla City, 91919, Mexico
Research Site
San Luis Potosí City, 78399, Mexico
Research site
's-Hertogenbosch, 5223 GZ, Netherlands
Research Site
Almelo, 7600 SZ, Netherlands
Research site
Blaricum, 1261 AN, Netherlands
Research site
Breda, 4818 CK, Netherlands
Research site
Eindhoven, 5602 ZA, Netherlands
Research site
Geldrop, 5664 EH, Netherlands
Research site
Gouda, 2803 HH, Netherlands
Research site
Heerenveen, 8441 PW, Netherlands
Research site
Heerlen, 6419 PC, Netherlands
Research site
Helmond, 5700 AB, Netherlands
Research site
Hengelo, 7550 AM, Netherlands
Research site
Hoorn, 1624 NP, Netherlands
Research site
Leeuwarden, 8934 AD, Netherlands
Research Site
Meppel, 7943 SM, Netherlands
Research site
Nieuwegein, 3430 EM, Netherlands
Research site
Nijmegen, 6500 GS, Netherlands
Research site
Roermond, 6043 CV, Netherlands
Research site
Rotterdam, 3079 DZ, Netherlands
Research site
Sittard-Geleen, 6162 BG, Netherlands
Research site
The Hague, 2566 MJ, Netherlands
Research site
Tilburg, 5022 GC, Netherlands
Research site
Venray, 5801 CE, Netherlands
Research site
Woerden, 3447 GN, Netherlands
Research Site
Zwolle, 8011 JW, Netherlands
Research site
Bergen, 5021, Norway
Research site
Bodø, 8092, Norway
Research site
Drammen, 3004, Norway
Research Site
Fredrikstad, 1603, Norway
Research site
Førde, 6812, Norway
Research site
Haugesund, 5504, Norway
Research site
Lillehammer, 2629, Norway
Research site
Lørenskog, 1478, Norway
Research site
Molde, 6407, Norway
Research site
Namsos, 7800, Norway
Research site
Oslo, 0027, Norway
Research Site
Oslo, 0407, Norway
Research Site
Skien, 3710, Norway
Research site
Stavanger, 4095, Norway
Research Site
Tromsø, 9038, Norway
Research site
Trondheim, 7006, Norway
Research site
Tønsberg, 3103, Norway
Research site
Aveiro, 3810-095, Portugal
Research site
Beja, 7801-849, Portugal
Research site
Evora, 7000-811, Portugal
Research site
Funchal, 9000, Portugal
Research site
Lisbon, 1349-019, Portugal
Research site
Lisbon, 1649-035, Portugal
Research site
Porto, 4200 - 319, Portugal
Research site
Setúbal, 2910-446, Portugal
Research Site
Banská Bystrica, 975 17, Slovakia
Research Site
Bratislava, 813 69, Slovakia
Research Site
Bratislava, 826 06, Slovakia
Research site
Bratislava, 833 05, Slovakia
Research site
Košice, 041 66, Slovakia
Research site
Nitra, 949 01, Slovakia
Research site
Ávila, 05071, Spain
Research site
Badalona, 08916, Spain
Research site
Barcelona, 08003, Spain
Research site
Barcelona, 08907, Spain
Research site
Donostia / San Sebastian, 20014, Spain
Research site
Girona, 17007, Spain
Research site
Langreo, 33920, Spain
Research site
Logroño, 26006, Spain
Research site
Palma de Mallorca, 07014, Spain
Research site
Ponferrada, 24411, Spain
Research site
Tarragona, 43003, Spain
Research site
Tarragona, 43500, Spain
Research site
Vitoria-Gasteiz, 01009, Spain
Research site
Edgbaston, Birmingham, B15 2TH, United Kingdom
Research site
Canterbury, Kent, CT1 3NG, United Kingdom
Research site
Hammersmith, London, W6 8RF, United Kingdom
Research site
Salford, Manchester, M6 8HD, United Kingdom
Research site
Belfast, BT16 1RH, United Kingdom
Research site
Brighton, BN2 5BE, United Kingdom
Research site
Bristol, BS16 1LE, United Kingdom
Research site
Coventry, CV2 2DX, United Kingdom
Research site
Exeter, EX25DW, United Kingdom
Research site
Liverpool, L9 7LJ, United Kingdom
Research site
Middlesbrough, TS4 3BW, United Kingdom
Research site
Newcastle upon Tyne, NE1 4LP, United Kingdom
Research site
Nottingham, NG7 2UH, United Kingdom
Research site
Stoke-on-Trent, ST4 6QG, United Kingdom
Related Publications (3)
Butzkueven H, Kappos L, Spelman T, Trojano M, Wiendl H, Su R, Liao S, Hyde R, Licata S, Ho PR, Campbell N. No evidence for loss of natalizumab effectiveness with every-6-week dosing: a propensity score-matched comparison with every-4-week dosing in patients enrolled in the Tysabri Observational Program (TOP). Ther Adv Neurol Disord. 2021 Sep 27;14:17562864211042458. doi: 10.1177/17562864211042458. eCollection 2021.
PMID: 34603507DERIVEDButzkueven H, Kappos L, Wiendl H, Trojano M, Spelman T, Chang I, Kasliwal R, Jaitly S, Campbell N, Ho PR, Licata S; Tysabri Observational Program (TOP) Investigators. Long-term safety and effectiveness of natalizumab treatment in clinical practice: 10 years of real-world data from the Tysabri Observational Program (TOP). J Neurol Neurosurg Psychiatry. 2020 Jun;91(6):660-668. doi: 10.1136/jnnp-2019-322326. Epub 2020 Mar 31.
PMID: 32234967DERIVEDButzkueven H, Kappos L, Pellegrini F, Trojano M, Wiendl H, Patel RN, Zhang A, Hotermans C, Belachew S; TYSABRI Observational Program (TOP) Investigators. Efficacy and safety of natalizumab in multiple sclerosis: interim observational programme results. J Neurol Neurosurg Psychiatry. 2014 Nov;85(11):1190-7. doi: 10.1136/jnnp-2013-306936. Epub 2014 Feb 14.
PMID: 24532785DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Medical Director
Biogen
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 27, 2007
First Posted
June 28, 2007
Study Start
June 29, 2007
Primary Completion
November 1, 2023
Study Completion
November 1, 2023
Last Updated
April 8, 2024
Record last verified: 2024-04